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DELTA MANOR
NPI 1710969787
Intermediate Care Facility, Intellectual Disabilities in Clarksdale, MS

Active since November 16, 2005CLIA 25D0891575 · Waiver
701 HIGHWAY 322, CLARKSDALE, MS 38614(662) 627-2212(662) 627-1727 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delta Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELTA MANOR (NPI 1710969787) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Clarksdale, Mississippi and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Jamie Latture Collier, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1710969787
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.
Location Address701 HIGHWAY 322Clarksdale, MS 38614-4722
Mailing Address5420 W Plano PkwyPlano, TX 75093-4823 · (972) 931-3800 · Fax (972) 767-6222
Phone(662) 627-2212
Fax(662) 627-1727
Organization SubpartNo
Authorized OfficialJamie Latture CollierDirector Of Reimbursement · (972) 931-3800
Enumeration DateNovember 16, 2005
Last NPPES UpdateAugust 4, 2011
✔ NPI 1710969787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MS · 631
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
701 HIGHWAY 322, Clarksdale, MS 38614
Open in Google Maps ↗

Other Names 1

Doing Business AsDelta Manor

Other Identifiers 1

Medicaid00220056MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0891575

Delta Manor · Clarksdale, MS
Active · expires Mar 15, 2027
CLIA Number25D0891575
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorGinger W. Stringer
Laboratory Phone(662) 627-2212
Laboratory LocationDelta Manor701 Hwy 322 W, Clarksdale, MS 38614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARKSDALE MS OPCO LLC
Intermediate Care Facility, Intellectual Disabilities
701 HIGHWAY 322
CLARKSDALE, MS 38614
Coahoma County (662) 627-2212
CLARKSDALE MS OPERATING LLC
Intermediate Care Facility, Mental Illness
701 HIGHWAY 322
CLARKSDALE, MS 38614
Coahoma County (662) 627-2212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preferred Care Developmental Centers Of Ms I, Inc.'s NPI number?

The NPI number for Preferred Care Developmental Centers Of Ms I, Inc. is 1710969787. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Delta Manor.

Where is Preferred Care Developmental Centers Of Ms I, Inc. located?

Preferred Care Developmental Centers Of Ms I, Inc. is located at 701 Highway 322, Clarksdale, MS 38614. The listed phone number is (662) 627-2212.

What is Preferred Care Developmental Centers Of Ms I, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Preferred Care Developmental Centers Of Ms I, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0891575) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Preferred Care Developmental Centers Of Ms I, Inc. was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.